Individual
MR. WILLIAM SIMEON FORGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
50 MAIN ST, GARDNER, MA 01440-2601
(978) 632-7889
Mailing address
50 MAIN ST, GARDNER, MA 01440-2601
(978) 632-7889
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1489
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521977
—
MA
Enumeration date
03/29/2007
Last updated
07/09/2007
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